@extends('index')
@section('title', Helper::getSiteTitle($title))

@section('content')
<div class="row">
    <div class="col-12">
        <div class="page-title-box">
            <div class="page-title-right">
                <ol class="breadcrumb m-0">
                    <li class="breadcrumb-item"><a href="{{ route('dashboard') }}">{{ __('Dashboard') }}</a></li>
                    <li class="breadcrumb-item"><a href="javascript:void(0)">{{ __('Users') }}</a></li>
                    <li class="breadcrumb-item active">{{ __($title) }}</li>
                </ol>
            </div>
            <h4 class="page-title">{{ __($title) }}</h4>
        </div>
    </div>
</div>
<div class="row">
    <div class="col-lg-12">
        <div class="card-box">
            <form class="submit-form" action="{{ route('update-customer-details') }}" method="post" enctype="multipart/form-data">
                <div class="row">
                    <div class="col-lg-6">
                        {{ csrf_field() }}
                        <div class="display-messages">
                            @if($errors->any())
                            <div class="alert alert-danger" role="alert">
                                @foreach ($errors->all() as $error)
                                    {!! $error !!}<br>
                                @endforeach
                            </div>
                            @elseif(session('message'))
                            <div class="alert alert-success" role="alert">
                                {!! session('message') !!}
                            </div>
                            @endif
                        </div>

                        <div class="row">
                            <div class="col-lg-6">
                                <div class="form-group">
                                    <label>{{ __('First Name') }} <span class="required-label">*</span></label>
                                    <input type="text" class="form-control" placeholder="{{ __('First Name') }}" name="first_name" value="{{ Helper::getInputValue('first_name', $user->first_name) }}" required="">
                                </div>
                            </div>
                            <div class="col-lg-6">
                                <div class="form-group">
                                    <label>{{ __('Last Name') }} <span class="required-label">*</span></label>
                                    <input type="text" class="form-control" placeholder="{{ __('Last Name') }}" name="last_name" value="{{ Helper::getInputValue('last_name', $user->last_name) }}" required="">
                                </div>
                            </div>
                        </div>

                        <div class="form-group">
                            <label for="projectname">{{ __('Email') }}</label>
                            <input type="email" id="projectname" class="form-control" placeholder="{{ __('Email') }}" name="email" value="{{ Helper::getInputValue('email', $user->email) }}" required="">
                        </div>

                        <div class="form-group">
                            <label for="projectname">{{ __('Phone') }}</label>
                            <input type="text" id="projectname" class="form-control" placeholder="{{ __('Phone') }}" name="phone" value="{{ Helper::getInputValue('phone', $user->phone) }}" required="">
                        </div>

                        <div class="form-group">
                            <label for="projectname">{{ __('Address') }}</label>
                            <input type="text" id="projectname" class="form-control" placeholder="{{ __('Address') }}" name="address" value="{{ Helper::getInputValue('address', $user->address) }}">
                        </div>

                        <div class="form-group">
                            <label for="projectname">{{ __('Apartment/Suite') }}</label>
                            <input type="text" id="projectname" class="form-control" placeholder="{{ __('Apartment/Suite') }}" name="apartment" value="{{ Helper::getInputValue('apartment', $user->apartment) }}">
                        </div>

                        <div class="form-group">
                            <label for="login-email">City </label>
                            <input type="text" class="form-control" id="login-email" placeholder="City" name="city" value="{{ Helper::getInputValue('city', $user->city) }}">
                        </div>

                        <div class="form-group">
                            <label for="login-email">Country </label>
                            <input type="text" class="form-control" id="login-email" placeholder="Country" name="country" value="{{ Helper::getInputValue('country', $user->country) }}" >
                        </div>

                        <div class="form-group">
                            <label for="login-email">Zip Code </label>
                            <input type="text" class="form-control" id="login-email" placeholder="Zip Code" name="postal_code" value="{{ Helper::getInputValue('postal_code', $user->postal_code) }}">
                        </div>

                        <div class="form-group row mt-3">
                            <label class="col-3 col-form-label">Account Status</label>
                            <div class="col-9">
                                @php $approve = Helper::getInputValue('approve', $user->approve) @endphp
                                <input type="checkbox" {{ !empty($approve) ? 'checked' : '' }} data-plugin="switchery" data-color="#1bb99a" name="approve" value="1" />
                            </div>
                        </div>

                        <div class="form-group row mt-3">
                            <label class="col-3 col-form-label">New Member Reward</label>
                            <div class="col-9">
                                @php $sign_up_reward = Helper::getInputValue('sign_up_reward', $user->sign_up_reward) @endphp
                                <input type="checkbox" {{ !empty($sign_up_reward) ? 'checked' : '' }} data-plugin="switchery" data-color="#1bb99a" name="sign_up_reward" value="1" />
                            </div>
                        </div>

                    </div>
                    <div class="col-lg-6">
                        <div class="form-group mt-3 mt-xl-0">
                            <label for="projectname" class="mb-0">{{  __('Image')}}</label>
                            <input type="file" data-plugins="dropify" data-text="{{ __('Click to upload') }}" data-default-file="{{ !empty($doc) && !empty($doc->national_id) ? $doc->national_id : '' }}" name="national_id"  />
                            <input type="hidden" name="remove_image" class="remove-image">
                        </div>

                        <div class="form-group">
                            <label for="login-email">Medical Card Number </label>
                            <input type="text" class="form-control" id="login-email" placeholder="Medical Card Number" name="medical_card_number" value="{{ Helper::getInputValue('medical_card_number', !empty($doc) ? $doc->medical_card_number : '') }}" >
                        </div>

                        <div class="form-group">
                            <label for="login-email">Medical Card State </label>
                            <input type="text" class="form-control" id="login-email" placeholder="Medical Card State" name="medical_card_state" value="{{ Helper::getInputValue('medical_card_state', !empty($doc) ? $doc->medical_card_state : '') }}" >
                        </div>

                        <div class="form-group">
                            <label for="login-email">Medical Card Expiry </label>
                            <input type="date" class="form-control" id="login-email" placeholder="Medical Card Expiry" name="medical_card_expiration" value="{{ Helper::getInputValue('medical_card_expiration', !empty($doc) && !empty($doc->medical_card_expiration) ? \Carbon\Carbon::parse($doc->medical_card_expiration)->format('Y-m-d') : '') }}" >
                        </div>
                    </div>
                    <input type="hidden" name="id" value="{{ $user->id }}">
                </div>
                <div class="row mt-3">
                    <div class="col-12">
                        
                        <button type="submit" class="btn btn-info waves-effect waves-light form-submit-button">
                            <span class="btn-label"><i class="mdi mdi-pencil"></i><span class="spinner-border spinner-border-sm d-none" role="status" aria-hidden="true"></span></span>
                            {{ __('Update') }}
                        </button>

                    </div>
                </div>
            </form>
        </div>
    </div>
</div>
@endsection

@section('css-lib')
<meta name="class-to-open" content='customers'>
<link href="{{ asset('libs/mohithg-switchery/switchery.min.css') }}" rel="stylesheet" type="text/css" />
<link href="{{ asset('libs/dropify/css/dropify.min.css') }}" rel="stylesheet" type="text/css" />
@endsection

@section('js-lib')
<script src="{{ asset('libs/mohithg-switchery/switchery.min.js') }}"></script>
<script src="{{ asset('libs/dropify/js/dropify.min.js') }}"></script>
@endsection